A woman's body prepares itself for pregnancy every month. During this time, one of your ovaries releases an egg into the fallopian tube, where it waits to be fertilized by healthy sperm.
However, when fertilization does not occur, the lining of the uterus sheds. This is called menstruation or a period, and this process repeats every month, usually every 28 days.
Nevertheless, many women experience irregular periods, which, in most cases, do not indicate a serious problem. It is important to understand what causes this and when to seek medical advice.
What are irregular periods?
If the intervals between your menstrual cycles vary, you may have irregular periods. While it is normal for periods to be a little early or late, certain symptoms indicate when it is important to consult a gynecologist.
Those symptoms are:
Causes of Irregular Periods
There are many causes of irregular periods, including:
Let’s understand each one.
1. Natural Hormonal Changes
Irregular periods can occur due to natural hormonal changes. The main hormones controlling your menstrual cycle are follicle-stimulating hormone (FSH), progesterone, and estrogen.
Disruption in the normal rise and fall of these hormones can cause irregular periods.
Factors that can change hormone levels include:
Irregular periods during adolescence are common and normal when the body undergoes many changes. During these years, periods can be longer and irregular. It may take several years for them to become shorter and regular.
Additionally, after childbirth, your periods may become irregular as it takes some time for your hormones to return to normal. Breastfeeding, in particular, is associated with suppressed ovulation.
When frequent breastfeeding causes your period to stop, it is called lactational amenorrhea. This usually lasts from three to six months or longer. Another natural cause of irregular periods is perimenopause.
In most women, perimenopause lasts from four to seven years before their menopause, meaning their menstrual cycle completely stops. During this stage, levels of estrogen and progesterone continue to decline.
2. Birth Control
One of the causes of irregular periods is oral contraceptives. They prevent pregnancy by reducing or stopping ovulation. If you use birth control, you will not have a true period. In fact, you may not have a period at all.
During birth control, you may experience withdrawal bleeding. However, this should not be mistaken for menstruation. Your hormonal levels decrease, triggering this, and when it happens, some mucus and blood flow from your uterine lining through the vagina.
Other forms of birth control, including intrauterine contraceptive devices (IUD), vaginal rings, and birth control patches, can also cause withdrawal bleeding.
Withdrawal bleeding usually lasts for a few days or weeks. It is different for each woman. Over time, it becomes more regular or stops entirely.
Similarly, after stopping birth control, you may have irregular periods. Typically, women experience withdrawal bleeding for two to four weeks before resuming menstruation.
However, it can take three to four months to become regular.
3. Underlying Health Conditions
Sometimes, irregular periods indicate an underlying health condition, such as:
Other conditions, such as type 1 diabetes and congenital adrenal hyperplasia (a disorder of the adrenal gland), can also make periods irregular.
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